NPIMap

Organization Active NPI

Medical Center Diagnostics LLC

  • Radiology Clinic/Center
  • Covington, LA
National Provider Identifier
1043358229
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
MEDICAL CENTER DIAGNOSTICS LLC
Practice address
67250 Industry LN
Covington, LA 70433-8716
Phone
(985) 809-0000
Fax
(985) 898-3827
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael Norton Pittman
Title
Owner Ceo
Phone
(985) 809-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

67250 Industry LN
Covington, LA 70433-8716

Mailing address

67250 Industry LN
Covington, LA 70433-8716
Phone (985) 809-0000

Other identifiers 1

IdentifierTypeStateIssuer
G1502OtherLABLUE CROSS P.E.T.

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043358229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67250 INDUSTRY LN",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338716",
            "telephone_number": "985-809-0000",
            "fax_number": "985-898-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67250 INDUSTRY LN",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338716",
            "telephone_number": "985-809-0000",
            "fax_number": "985-898-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "NORTON",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "985-809-0000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS P.E.T.",
            "identifier": "G1502",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.